C4
Upper trapezius, no UE function Power w/c; use of sip and puff control Dependent in all transfers and ADL's Full time attendant No functional ambulation
C5
Shoulder movements, Elbow flexion Power w/c with hand control, manual chair Moderate to maximum assist attendant for activity set-up No functional ambulation
C6
Wrist extension Manual w/c with rim projections Independent with sliding board transfers Driving possible with hand controls AM/PM care attendant No functional ambulation
C7-C8
Elbow extension, some hand function Manual w/c Independent on level terrain Transfers independent Independent living No functional ambulation
T1-T9
Increasing Vital capacity and trunk control
Manual w/c: independent in all terrain
Bed skills independent
Transfers independent
Therapeutic standing: functional ambulation not typical
T10-L2
100% Vital capacity
Household ambulating with KAFO’s (lofstrand crutches)
Independent bed/transfer/ w/c skills
L3
Knee extension
Community ambulating possible with KAFO’s ( lofstrand crutches or AFO’s)
Independent in all transfer skills
L4
Dorsiflexion, knee flexion
Community ambulation likely with AFO’s
Independent in all transfer skills